If the surgeon places stitches in the skin incisions, then the blood-tinged tumescent solution remains trapped beneath the skin causing prolonged bruising, swelling, and tenderness, which in turn requires the patient to wear an elastic compression garment for an extended length of time. If the surgeon closes the incisions with stitches then patients are typically instructed to wear a garment for 2 to 6 weeks. The length of time that a patient must wear an elastic compression garment depends on the type of aftercare technique preferred by the surgeon. How long must I wear a girdle (elastic compression garment) after surgery? The garments are usually crotchless so that the patient can urinate and defecate without having to remove the garment. Other garments are made from elastic cloth typical to that used for girdles. Some garments are constructed from Lycra type cloth. Such garments are intended to provide continuous postoperative compression to areas treated by liposuction. Most surgeons require that patients wear an elastic compression garment for a certain length of time after liposuction. What type of garment must be worn after surgery? With “closed-drainage”, the reason for using compression garments (which must be worn for several weeks) is to force the absorption of the blood-tinged anesthetic solution into the body’s blood vessels. With the modern “open-drainage” technique for post-liposuction care, the tiny incisions/adits are allowed to remain open (not closed with stitches), and the reason for using compression garments (need only be worn for a few days) is to encourage the rapid drainage of the residual blood-tinged tumescent anesthetic solution from beneath the skin. With tumescent liposuction, the function of the compression garment depends on the whether or not the surgeon closes incisions with stitches. This blood-tinged fluid causes bruising and the post-operative swelling known as “osmotic-edema”. With the tumescent technique, there is always a certain amount of blood-tinged anesthetic solution which remains beneath the skin where the fat has been suctioned. Tumescent liposuction has eliminated surgical bleeding. In the early days of liposuction, before the tumescent technique had been invented, elastic compression garments (specially designed girdles) were intended 1) to reduce bleeding immediately after surgery and 2) to reduce swelling the time that the body is healing. Why are elastic compression garments worn after liposuction?
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